Transperitoneal laparoscopic pyeloplasty in children

Journal of Endourology
Harprit SinghMahesh Desai

Abstract

Ureteropelvic junction (UPJ) obstruction remains the most common cause of hydronephrosis in newborns and children. Open pyeloplasty has been the gold standard for management of UPJ obstruction in these patients. We report our technique and outcome with laparoscopic transperitoneal dismembered pyeloplasty in children. Nineteen patients, ages 2 to 14 years, underwent laparoscopic pyeloplasty at our center between June 2004 and December 2006. Thirteen pyeloplasties were on the left side and six on the right side. A transmesocolic approach was used in five left-sided UPJ obstructions. All operations were performed by the transperitoneal route using either three or four ports. Sixteen patients underwent dismembered (Anderson-Hynes) pyeloplasty, while three had a nondismembered Foley's Y-V pyeloplasty. Mean operative time was 198 minutes (range 105-300 min). Mean estimated blood loss was 45 mL (range 30-130 mL). Mean length of stay was 4 days (range 3-5 d). Mean followup was 13.8 months (range 2-30 mos). Postoperatively, one child had a urinary tract infection that necessitated hospital admission and administration of intravenous antibiotics. Eighteen of 19 patients demonstrated improved drainage with no evidence of obstruction on di...Continue Reading

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Citations

Mar 4, 2009·Pediatric Surgery International·Rajendra B NerliM K Ganesh
May 29, 2009·Journal of Endourology·Narmada P GuptaRajeev Kumar
Nov 4, 2008·Journal of Pediatric Urology·M LopezF Varlet
May 17, 2015·Journal of Pediatric Urology·Haytham BadawyAhmed Hanno
Jan 25, 2017·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·M Ben DhaouR Mhiri
Aug 8, 2017·Journal of Minimal Access Surgery·Arvind P GanpuleTanmay Joshi
Aug 21, 2013·Korean journal of urology·Arvind GanpuleMahesh Desai

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